“No statistical difference”

On today’s episode of Critical Levels, we chat with Dr. Ken Milne of the Skeptics’ Guide to Emergency Medicine (https://thesgem.com; @thesgem).

We start with a high-level discussion and literature and evidence, and then apply these concepts to ‘lyse’ and ‘bust’ some of the predominate prehospital myths.

Find links to the primary literature on our website.

We examine:

2:00 - The importance of primary literature

4:10 - Why? 

10:10 – Literature, critically appraising articles, & levels of evidence

13:20 – Evidence Based Medicine

17:30 – Guidelines & Protocols

22:22 – Epinephrine in Cardiac Arrest

28:30 – Sodium Bicarbonate in Cardiac Arrest

32:10 – Advanced Airways

36:10 – “Treat the patient, not the monitor”

42:05 – TTM (Targeted Temperature Management)

48:22 – “Be Skeptical”

51:15 – TBI Management/TXA

61:05 – Final Thoughts